Just had a mini meltdown

[Kaylz]

Kaytz, if you haven't already download the App my fitness pal. You can track your food intake and it will help you eat more. Good luck.

I have an app on my phone for it and its not that simple for me I'm afraid, thanks though! 🙂 x

 

[AJLang]

Kalyan 8.1 post meal is not a spike. I am REALLY worried about you but don't know what else to advise x

 

[Kaylz]

Kalyan 8.1 post meal is not a spike. I am REALLY worried about you but don't know what else to advise x

It's the fact I didn't come down much that bothers me, then came whacking down without any 'extra' insulin, I know it could have been a dodgy injection that could have taken longer to release etc and it was working at the same time as my dinner injection but if I'd not used common sense and taken the 3 my meter suggested I would have ended up hypo, scared that I might have lost my awareness with having such low waking numbers and possibly have been too low during the night, I know your worried and I am too but I really need to see the psychology team to get the help I need but there is a long waiting list and that's the thing I'm REALLY needing x

 

[Radders]

Kalyan 8.1 post meal is not a spike. I am REALLY worried about you but don't know what else to advise x

Agreed. And even if it were, you can't conclude it was the egg based on one event: there are so many variables that affect our levels (temperature, insulin bubbles, injection sites, hormones to name a few) that to further restrict the range of foods you eat based on one less than perfect result seems like an unwise idea or you will end up with even less variety in your meal choices.
I understand what you're saying about preferring meat anyway but that's not really the point, you can get fed up eating the same thing every day and it's good to switch things around.

 

[Kaylz]

Agreed. And even if it were, you can't conclude it was the egg based on one event: there are so many variables that affect our levels (temperature, insulin bubbles, injection sites, hormones to name a few) that to further restrict the range of foods you eat based on one less than perfect result seems like an unwise idea or you will end up with even less variety in your meal choices.
I understand what you're saying about preferring meat anyway but that's not really the point, you can get fed up eating the same thing every day and it's good to switch things around.

I was fed up of eggs that's why I haven't eaten them in ages anyway as was having them scrambled for weeks, then as an omelette for weeks, its just odd that the same thing happened the 2 days I had the boiled egg, I want to try different breads etc too but I wont as they vary hugely in carbs obviously x

 

[AJLang]

So when the breads are different carbs then alter your bolus. Also if you are worried about hypos, which I completely understand, then run your BGs slightly higher for a while. I understand that you need the psychological help but if the appointment isn't for a long while then you need to start making changes now. I don't want you to end up in hospital, or worse x

 

[Kaylz]

So when the breads are different carbs then alter your bolus. Also if you are worried about hypos, which I completely understand, then run your BGs slightly higher for a while. I understand that you need the psychological help but if the appointment isn't for a long while then you need to start making changes now. I don't want you to end up in hospital, or worse x

I'm not confident to make the jump, its usually breakfast I have toast and that's not cracked yet, my readings are never the same after breakfast if I wake up to say 5.0mmol I'm fine but if I wake up any lower then I will jump 3mmol or so by the next meal but as we think the low in the night and waking is causing a dump nothing will be solved until the basal is sorted which is still ongoing, I'm so sorry hun I feel awful for having you worried with everything you have going on hugs xx

 

[Copepod]

I'm not confident to make the jump, its usually breakfast I have toast and that's not cracked yet, my readings are never the same after breakfast if I wake up to say 5.0mmol I'm fine but if I wake up any lower then I will jump 3mmol or so by the next meal but as we think the low in the night and waking is causing a dump nothing will be solved until the basal is sorted which is still ongoing, I'm so sorry hun I feel awful for having you worried with everything you have going on hugs xx

Seriously, a 3mmol/l rise from pre-breakfast to 2 hours post breakfast (I'm assuming you are checking 2 hours after eating?) is not a "jump". At the moment, you're in early stages of insulin therapy, and priority has to be regaining some body weight to approximately before diagnosis. In your case, advice has to be "just eat more".

 

[Kaylz]

Seriously, a 3mmol/l rise from pre-breakfast to 2 hours post breakfast (I'm assuming you are checking 2 hours after eating?) is not a "jump". At the moment, you're in early stages of insulin therapy, and priority has to be regaining some body weight to approximately before diagnosis. In your case, advice has to be "just eat more".

I will use Sunday as an example, I woke to 4.6 took my 2 units for my breakfast, 2 hours after breakfast I was 5.7 but just over 4 hours later and pre lunch I was 7.8 x

 

[Copepod]

I will use Sunday as an example, I woke to 4.6 took my 2 units for my breakfast, 2 hours after breakfast I was 5.7 but just over 4 hours later and pre lunch I was 7.8 x

Those numbers are absolutely fine, particularly as you were diagnosed less than a year ago.

 

[Kaylz]

Those numbers are absolutely fine, particularly as you were diagnosed less than a year ago.

I just don't like that much movement 4 hours after a meal when its not 'supposed' to happen then I get all in a panic cause I'm never sure what levels I should 'correct' x

 

[Copepod]

I just don't like that much movement 4 hours after a meal when its not 'supposed' to happen then I get all in a panic cause I'm never sure what levels I should 'correct' x

You're right not to like the rise, but there's no need to panic. DAFNE (Dose Adjustment For Normal Eating) advice is only to do a correction dose with short acting dose before next meal, but sometimes you will be exercising, for example, that would reduce blood glucose levels anyway.
In the meantime, please concentrate on eating more calories to raise your bodyweight.

 

[Kaylz]

You're right not to like the rise, but there's no need to panic. DAFNE (Dose Adjustment For Normal Eating) advice is only to do a correction dose with short acting dose before next meal, but sometimes you will be exercising, for example, that would reduce blood glucose levels anyway.
In the meantime, please concentrate on eating more calories to raise your bodyweight.

I know 'when' to correct just never sure 'what level' to correct at, I just have a fear that's not easy to deal with, I'm scared of sugar how ridiculous is that! I'd love a couple of squares of chocolate or a Belgian éclair oh god I really would BUT yanno, I know I can have it but I hate even being near sugar! x

 

[Bloden]

When I was dx, the DSN said to add a correction dose of 1 unit of Apidra (rapid) if my BG before a meal was over 150mg/dL - that's 8.3 mmols - so that's what I've always done. Later on I added these two to my repertoire: if I'm higher than 13.0 I take a 2-unit correction; higher than 16.0 (gawd forbid!) a 3-unit correction.

I know that the "Using Insulin" authors and Gary Scheiner, etc. etc. stress the importance of working out your own personalised CDs (and when to apply them) with a whole ton of mind-numbing maths but, frankly, life's too short! I do languages, not numbers...😱😛 I've tried and tested my CDs and they work.

I think the problem when first dx - certainly true for me - is the feeling that suddenly you have to write your own body's handbook: do this when this occurs, do that when that occurs. The to-do list can seem endless. 😱 And it can feel really overwhelming. It's only when I started taking baby steps that I was able to cope...and to this day, I have to be careful not to overdo it and end up in burnout mode.

Baby steps, Kaylz - you don't have to wear a nappy, btw.😉

 

[Kaylz]

When I was dx, the DSN said to add a correction dose of 1 unit of Apidra (rapid) if my BG before a meal was over 150mg/dL - that's 8.3 mmols - so that's what I've always done. Later on I added these two to my repertoire: if I'm higher than 13.0 I take a 2-unit correction; higher than 16.0 (gawd forbid!) a 3-unit correction.

I know that the "Using Insulin" authors and Gary Scheiner, etc. etc. stress the importance of working out your own personalised CDs (and when to apply them) with a whole ton of mind-numbing maths but, frankly, life's too short! I do languages, not numbers...😱😛 I've tried and tested my CDs and they work.

I think the problem when first dx - certainly true for me - is the feeling that suddenly you have to write your own body's handbook: do this when this occurs, do that when that occurs. The to-do list can seem endless. 😱 And it can feel really overwhelming. It's only when I started taking baby steps that I was able to cope...and to this day, I have to be careful not to overdo it and end up in burnout mode.

Baby steps, Kaylz - you don't have to wear a nappy, btw.😉

Thanks Bloden 🙂 I haven't corrected in a while as never needed to, my correction is 0.5 unit to bring me down 3 mmol, different DSN's have different opinions on what to correct too and that gets a bit frustrating, some people don't correct unless 10.0 mmol, sometimes I just don't know what the 'best thing to do' is ya get me? haha 🙂 x

 

[Radders]

Those numbers are absolutely fine, particularly as you were diagnosed less than a year ago.

Completely agree. Plus as many have said, if you use the ratio correctly for the carbs it shouldn't matter if you vary the carbs.

 

[Radders]

Thanks Bloden 🙂 I haven't corrected in a while as never needed to, my correction is 0.5 unit to bring me down 3 mmol, different DSN's have different opinions on what to correct too and that gets a bit frustrating, some people don't correct unless 10.0 mmol, sometimes I just don't know what the 'best thing to do' is ya get me? haha 🙂 x

What different numbers have the DSNs given you to correct to?

 

[Kaylz]

What different numbers have the DSNs given you to correct to?

I cant remember all the different one's ive had but one told me to correct if above 8mmol then the next person I saw told me to do correct at 9mmol x

 

[Radders]

I cant remember all the different one's ive had but one told me to correct if above 8mmol then the next person I saw told me to do correct at 9mmol x

That doesn't sound like a huge difference. If 0.5 units drops you by 3, why not split the difference: correct if above 8.5. That way the correction would hopefully leave you at 5.5 before the next meal, unless you have been given a higher target for going to bed, in which case add 3 onto that target and correct before dinner if you are above that?

 

[Kaylz]

That doesn't sound like a huge difference. If 0.5 units drops you by 3, why not split the difference: correct if above 8.5. That way the correction would hopefully leave you at 5.5 before the next meal, unless you have been given a higher target for going to bed, in which case add 3 onto that target and correct before dinner if you are above that?

My target for bed is 6-8 and yeah that's a fab idea about the correcting so thanks! 🙂 x